[Study clinical application to determine heparin requirements during hemodialysis]

A de nove Weighted Stepwise Linear Model based on Gotch's heparin pharmacokinetic model has been designed to determine the heparin elimination rate constant during hemodialysis (HD). 100 times of HD in 26 patients with unstable dosage requirements of heparin were performed according to the computing method and the new heparin pharmacokinetic Weighted Stepwise Linear Model monitored be program of pocket calculator. The results showed not only stable anticoagulation but also successful prevention of patients's bleeding and avoidance of coagulation in hemodialyzer and blood tubing. The computer diagram presented in this paper is useful for propramming with different computer languages to calculate the heparin dosage requirements of patients undergoing HD.